A Comparison of Child-sex-abuse-related and Mental-disorder-related Suicide in a Six-year Cohort of Regional Suicides: The Importance of the Child Protection-Psychiatric Interface

Correspondence to: Professor Colin Pritchard, Department of Mental Health, School of Medicine, Southampton University, Royal South Hants Hospital, Southampton SO14 0YG, UK. E-mail: cp1{at}soton.ac.uk Summary The study compares Mental-Disorder-Related (MDR) suicide rateswith Child-Sex-Abuse-Related (CSAR) suicide of ‘Victims’and ‘Perpetrators’ of child sex abuse, based uponan examination of all Coroners’ inquest files over a six-yearperiod (n = 1,017). Census data, psychiatric case register andpolice records were used to calculate the potential MDR andCSAR populations. There were five main findings: (i) male andfemale CSAR victim suicide rates were 2.2. and 2.5 times theGeneral Population Suicide Rate (GPSR), respectively; (ii) everyfemale, and 80 per cent of male CSAR victim suicides, also hada mental disorder but none of the CSAR perpetrator suicides;(iii) male and female MDR suicide rates were 5 and 6 times theCSAR Victim rates; (iv) the sex abuser perpetrators’ suiciderate was more than 3 times the male MDR rate; (v) the intra-and extra-familial perpetrator suicide rates, were 25 and 78times the GPSR, respectively. Possible explanations for thesesurprising results are briefly discussed. They confirm the overrepresentationof people with mental disorder amongst suicides, and identifyan overrepresentation of CSAR suicides, particularly perpetrators.The results have implications for suicide prevention programmes,whilst highlighting the importance of the child protection-psychiatricinterface, and indicates the futility of simple explanationsin an area of practical and moral complexity.     

Ergonomic recommendations and their role in cardiac sonography

Musculoskeletal disorders (MSDs) have been recognized as a serious hazard to the health and safety of sonographers. Recommendations have been made on ways to reduce and prevent the frequency and severity of these disorders. The purpose of this study was to ascertain the impact ergonomics has had on the prevalence of MSDs among cardiac sonographers. Three hundred randomly selected Registered Diagnostic Cardiac Sonographers were surveyed. Eighty-one respondents completed the survey. The majority of the sample population was female with an average age of 40 and job tenure between 6-15 years. Ninety percent of respondents reported musculoskeletal pain/discomfort while scanning. Seventy-three percent of respondents perceived a need for ergonomic interventions. The majority of respondents were aware of previously recommended ergonomic interventions and had implemented what was feasible. Still, the experience of pain and discomfort, and incidence of MSDs remains exceptionally high for this occupation. It appears that recommended ergonomic interventions have not had a significant impact on improving the health and safety of cardiac sonographers.     

Machine-component group formation in group technology

A new Rank Order Cluster Algorithm is discussed which provides a simple, effective and efficient analytical technique for the formation of machine-component groupings. The method is specifically developed for computer application although it is possible for it to be used for manual computation, if required, particularly for smaller problems.     

The South Oaks Gambling Screen: a review with reference to Australian use

The South Oaks Gambling Screen (SOGS) is a psychometric instrument widely used internationally to assess the presence of pathological gambling. Developed by Lesieur and Blume (1987) in the United States of America (USA) as a self-rated screening instrument, it is based on DSM-III and DSM-III-R criteria. This paper describes the origins and psychometric development of the SOGS and comments critically in relation to its construct validity and cutoff scores. Reference is made to the use of the SOGS in the Australian setting, where historically gambling has been a widely accepted part of the culture, corresponding to one of the highest rates of legalised gambling and gambling expenditure in the world. An alternative approach to the development of an instrument to detect people who have problems in relation to gambling is proposed.     

"It's not cricket": colonial legacies and contemporary inequalities

Cricket has been historically significant in defining notions of English national identity and continues to feature in debates over the inclusion/exclusion of immigrants in British society. British-African-Caribbean players are well represented in the English game but participation appears mediated by ethnic group membership. This contemporary pattern can only be understood when contextualized within the historical development of cricket in the Caribbean and, in particular, the struggles between whites and blacks and between the white elites. Over-representation in certain cricketing roles has been an ever-present feature of this negotiation; contemporary inequality is, therefore, largely a consequence of the legacy of British Imperialism.     

Competitive information systems

The problem of keeping abreast of relevant competitive developments for strategic purposes is common to many organizations. In this article the authors describe a system which they have developed and which is currently in operation which they believe can prove beneficial in meeting this need. They believe that their system provides competitive data in a useful form. Also it ensures that information, and not data, are processed and provided for planners and managers to support their decision-making.     

Models and methods for pairing data

This paper deals with models and methods for count data derived from observations on pairing phenomena. Pairs formed from “similar” members are excluded. Various models are considered and analyzed. Particular emphasis is on developing methods for testing whether particular pairs are prone to occur more or less often than expected by chance.